James Ryan Macdonell, M.D.

13% more Medicare Part D claims than the average adult reconstructive orthopaedic surgery physician in 2024

655 Medicare Part D claims for 200 beneficiaries, against an average of 579 among the 1,112 providers of this specialty who prescribed in Part D. 274 claims were for opioids.

Most prescribed

1. Oxycodone Hcl193 claims
2. Meloxicam61 claims
3. Gabapentin54 claims
4. Celecoxib48 claims
5. Ondansetron Hcl42 claims
6. Tramadol Hcl35 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 100 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $298.79

4 payments; by number, the most common kind was food and beverage; the largest payer was Zimmer Biomet Holdings, Inc. The 1,060 providers of this specialty with any payment received $68,015.27 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 4 group practices

1. Carolina Physical Therapy Associates LLCHendersonville, NC
2. MH Mission Hospital Mcdowell, LllpMarion, NC
3. Mission Health Community Multispecialty Providers LLCArden, NC
4. Proactive Therapy OF North Carolina IncMarion, NC

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).